psoriatic arthritis
A subtype of juvenile idiopathic arthritis associated with psoriasis or family history of psoriasis.
Full Definition
Psoriatic arthritis in children is characterized by arthritis plus psoriasis, or arthritis with at least two of the following: dactylitis, nail pitting or onycholysis, or psoriasis in a first-degree relative. This subtype often presents with asymmetric joint involvement and may affect both large and small joints. The arthritis may precede skin manifestations by years, making diagnosis challenging.
Usage
Usage note: May be abbreviated as PsA but spell out on first use in clinical documents.
In Context
- "Nail changes and dactylitis supported the diagnosis of psoriatic arthritis despite absent skin lesions." — Dermatology-rheumatology consultation
- "Family history of psoriasis was crucial in classifying this as psoriatic arthritis rather than oligoarticular JIA." — Case conference notes